Cardiopulmonary Variables During Exercise Predict Pregnancy Outcome in Women With Congenital Heart Disease

Ohuchi, Hideo; Tanabe, Youko; Kamiya, Chizuko; Noritake, Kanae; Yasuda, Kenji; Miyazaki, Aya; Ikeda, Tomoaki; Yamada, Osamu

doi:10.1253/circj.cj-12-0485

Cited by 50 publications

(21 citation statements)

References 23 publications

(10 reference statements)

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“…Relevant data regarding the outcome and risk analyses of pregnancy in women with CHD in the Asian population are still scarce. [15][16][17] In addition, the prediction performance of the ZAHARA score for women with CHD has not yet been examined. Therefore, based on a longitudinal database from a tertiary care center in Taiwan, we investigated the outcomes of pregnancy in women with CHD.…”

Section: Methodsmentioning

confidence: 99%

Comparison of 3 Risk Estimation Methods for Predicting Cardiac Outcomes in Pregnant Women With Congenital Heart Disease

Shih

Chen

et al. 2015

Circ J

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Section: Methodsmentioning

confidence: 99%

Comparison of 3 Risk Estimation Methods for Predicting Cardiac Outcomes in Pregnant Women With Congenital Heart Disease

Shih

Chen

et al. 2015

Circ J

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“…7 A peak heart rate of 150 beats/min or more or maximal oxygen consumption greater than 25 mL/kg/min may predict a population at less risk for adverse pregnancy outcome, and better cardiopulmonary exercise parameters also strongly correlate with normal neonatal birth weight. 8 However, risk assessment must not be based on single parameters, even quantitative ones, because there are many cases in practice and the literature that do not follow any currently established risk stratification model or cutoff.…”

Section: Preconception Risk Predictionmentioning

confidence: 99%

Pregnancy and Adult Congenital Heart Disease

Bhatt

Yeh

2015

Cardiology Clinics

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“…The risk factors, such as older age at ASO and elderly pregnancy might be associated with degree of exercise performance in the patients. Previous studies demonstrated a significant relationship between pre-pregnancy exercise capacity and pregnancy outcome [20,21]. A previous study also showed that exercise capacity in patients with ASO varied according to the surgical era.…”

Section: Pregnancy Outcomesmentioning

confidence: 97%

Pregnancy outcomes and mid-term prognosis in women after arterial switch operation for dextro-transposition of the great arteries – Tertiary hospital experiences and review of literature

Horiuchi

Kamiya

Ohuchi

et al. 2019

Journal of Cardiology

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Arterial switch operation (ASO) for dextro-transposition of the great arteries (d-TGA) has gradually replaced the atrial switch operation and has become the standard operation. To date, the outcomes of pregnant women with d-TGA after this new operation have not been investigated. In this study, we investigated the impact of ASO on pregnant outcomes and mid-term prognosis in women with d-TGA and compared with the atrial switch operation through the literature review. Methods and results: There were 20 pregnancies in 10 women with d-TGA after ASO and 6 resulted in abortion. Among 14 successful pregnancies in 10 women, 11 pregnancies achieved the term delivery and 3 pregnancies, including 1 twin pregnancy, resulted in preterm labor. Maternal cardiovascular events occurred in 4 (heart failure and arrhythmias in 3 and arrhythmia in 1), and all were controllable with medications. Risk factors for the peripartum cardiac events were older age at ASO and delivery, and higher concentration of brain natriuretic peptide (BNP) at first trimester (p < 0.05). In 7-60 monthfollow-up after delivery, no case showed deterioration of functional class and systemic ventricular function. According to the literature review, women after ASO demonstrated a better prognosis than those after the atrial switch operation. Conclusions: The majorityof womenwith d-TGA afterASO tolerated pregnancyand delivery well. The olderage at ASO, an elderly pregnancy, and higher BNP levels at the first trimester were possibly risk factors of peripartum cardiovascular events among the group. The literature reviews and this study may indicate the advantage of systemic left ventricle compared with systemic right ventricle in long-term outcomes after delivery.

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Cardiopulmonary Variables During Exercise Predict Pregnancy Outcome in Women With Congenital Heart Disease

Cited by 50 publications

References 23 publications

Comparison of 3 Risk Estimation Methods for Predicting Cardiac Outcomes in Pregnant Women With Congenital Heart Disease

Comparison of 3 Risk Estimation Methods for Predicting Cardiac Outcomes in Pregnant Women With Congenital Heart Disease

Pregnancy and Adult Congenital Heart Disease

Pregnancy outcomes and mid-term prognosis in women after arterial switch operation for dextro-transposition of the great arteries – Tertiary hospital experiences and review of literature

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